Organization
LIVE WELL HOME CARE-NEBRASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A GUTHMILLER (OWNER/DIRECTOR)
(402) 494-9171
Entity
Organization
Contact information
Practice address
1600 COMMERCE WAY, SOUTH SIOUX CITY, NE 68776-3008
(402) 494-9171
(402) 870-5538
Mailing address
PO BOX 520, SOUTH SIOUX CITY, NE 68776-0520
(402) 494-9171
(402) 870-5538
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64079167
—
NE
Enumeration date
12/15/2021
Last updated
04/14/2025
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